Customer Service Administrative Support

CR

CHANELLE ROGERS

****************@*****.*** 646-***-**** Tampa, Florida 33647

Hardworking and motivated individual, with over 5 years of experience in medical office work. Eager to lend combined knowledge and skills to enhance work performances. Best known for detailed & punctual skills pertaining to insurances; examining and processing claims, including break-downs for eligibility & benefits. Committed to achieving company goals, being a team player and growing professionally. OSHA Compliance

Multitasking and Organization

HIPAA Compliance

Health and Safety Regulations

Customer Service

Insurance claims & eligibility

Written/Verbal Communication

Attention to Detail

Computer efficient

Works Well Under Pressure

Blue Cross Blue shield

Enrollment Technician

10/2023 - Current

Verify enrollment status by making changes to

membership records, research, and resolving enrollment system discrepancies

Request or terminate ID cards for client portals via Microsoft outlook email

Managed between 60-100 Insurance case loads a day at minimum and saving all files into sections under group numbers and/or Prefixes.

Navigated multiple web sites and portals to input or change data from multiple healthcare/ medical offices via Microsoft Excel

Conducted detailed research to evaluate current benefit offerings, identify gaps, and recommend solutions for improvement

Managed the annual renewal process by evaluating

existing plans against new offerings from carriers

Performed administrative duties such as filing paperwork and inputting data into computer systems accurately and efficiently

Summary

Skills

Experience

Virginia Hospital Center

Patient Care Representative

01/2023 - 08/2023

Demonstrated excellent organizational skills by

scheduling follow up appointments, ordering supplies and maintaining medical equipment inventories

Maintained accurate medical records in accordance with HIPAA regulations, while ensuring the confidentiality of all patient information

Utilized electronic health records systems proficiently for documentation purposes

Managed billing processes by verifying insurance

eligibility and obtaining pre-authorization for services rendered,

Provided administrative support to management staff, including scheduling meetings and appointments,

preparing agendas, taking minutes, and maintaining records.

Proficiently managed incoming calls, emails, and

correspondence within established timeline.

Demonstrated expertise in providing customer service and administrative support to a busy front office

environment

Enlyte-Genex Services LLC

Customer Service

Representative

03/2022 - 01/2023

Reviewing documents in all US states, for those filing for workers compensation and disability programs.

Managing an inventory of claims to evaluate

compensability/liability for each client and also

determining their eligibility upon the requirements of each claim.

Creating letter templates to mail out to providers of hospitals and medical offices in which each patient has/ had been treated, during the time that the disability, or worker's compensation case has begun.

Provided excellent customer service through calls and emails to resolve client complaints in a timely manner.

• Meeting once a week with management and team

members via Microsoft Teams, to better resolve errors and share updates on new information within the company

• Maintaining communication with providers and clients regarding the status of New Client, program inquiries. Medstar Georgetown University

Hospital, Lombardi Cancer

Center

Administrative Assistant

02/2021 - 03/2022

Demonstrating excellent organizational skills by

scheduling follow up appointments, ordering supplies and maintaining medical equipment inventories.

• Maintained accurate medical records in accordance with HIPAA regulations, while ensuring the confidentiality of all patient information.

Utilized electronic health records systems proficiently for documentation purposes via IDX and Aria software.

• Managed billing processes by verifying insurance eligibility and obtaining pre-authorization for services rendered.

• Scheduled appointments and maintained patient records. Demonstrated proficiency in performing administrative duties such as data entry, answering phones, ordering supplies, and managing patient records.

• Prioritized patient needs identified through phone, electronic, and walk-in communication to comply with established guidelines.

• Provided administrative support to management staff, including scheduling meetings and appointments,

preparing agendas, taking minutes, and maintaining records.

Midtown Neurology LLC

Front office Coordinator

02/2016 - 01/2021

Scheduled appointments, answered phone calls and

checked patient queue for all new appointment inquiries.

• Utilized strong organizational skills to manage multiple tasks simultaneously with accuracy and efficiency.

• Proficiently managed voicemails, emails, and

correspondence within established timelines and performed general office duties such as filing documents,

photocopying materials, faxing documents, ordering supplies.

Updated patient demographics, eligibility and insurances over the phone and online, using the provider tools section on commercial insurance websites.

• Demonstrated expertise in providing customer service and administrative support to a busy front office

environment.

• Adeptly handled confidential information according to company policies and procedures.

Lincoln University of Pennsylvania

Bachelor of Science in Health Science/ Administration 05/2016

Employee of the month award at Midtown Neurology

Exceeded target percentage goals at office for Virginia Hospital Center Education and Training

Accomplishments

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